Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANDREW K. FULLER MD
NPI 1972130680
Internal Medicine - Gastroenterology in Los Angeles, CA

Active since March 24, 2020PECOS Enrolled
1520 SAN PABLO ST STE 1000, LOS ANGELES, CA 90033(323) 442-5100 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2026, Mar 4, 2023, Mar 24, 2020 (3 updates tracked since 2020).

About Andrew K. Fuller Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW K. FULLER MD (NPI 1972130680) is an individual gastroenterology provider in Los Angeles, California, licensed in California (A205150) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of University Of Utah School Of Medicine (2020).

NPPES Registry Identity

NPI1972130680
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameANDREW K. FULLERCredential: MD
Location Address1520 SAN PABLO ST STE 1000Los Angeles, CA 90033-5312
Mailing AddressPo Box 50938Los Angeles, CA 90074-0938 · (323) 442-5100
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2020
Enumeration DateMarch 24, 2020
Last NPPES UpdateJuly 6, 20263 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
NPI 1972130680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in CA · A205150 Licensed in UT · 13284709-1205
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1520 SAN PABLO ST STE 1000, Los Angeles, CA 90033

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Andrew K. Fuller Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668846700
PECOS Enrollment IDI20260611003807
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
1520 SAN PABLO ST STE 1000
LOS ANGELES, CA 90033
Internal Medicine (Hospice and Palliative Medicine)
1520 SAN PABLO ST STE 1000
LOS ANGELES, CA 90033
Internal Medicine (Nephrology)
1520 SAN PABLO ST STE 1000
LOS ANGELES, CA 90033
Internal Medicine (Gastroenterology)
1520 SAN PABLO ST STE 1000
LOS ANGELES, CA 90033
Internal Medicine (Infectious Disease)
1520 SAN PABLO ST STE 1000
LOS ANGELES, CA 90033
Nurse Practitioner
1520 SAN PABLO ST STE 1000
LOS ANGELES, CA 90033
Internal Medicine (Infectious Disease)
1520 SAN PABLO ST STE 1000
LOS ANGELES, CA 90033
Nurse Practitioner (Family)
1520 SAN PABLO ST STE 1000
LOS ANGELES, CA 90033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Fuller's NPI number?

The NPI number for Andrew Fuller is 1972130680. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Andrew Fuller located?

Andrew Fuller practices at 1520 San Pablo St Ste 1000, Los Angeles, CA 90033. The listed phone number is (323) 442-5100.

What is Andrew Fuller's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Andrew Fuller enrolled in Medicare?

Yes. Andrew Fuller is registered in the Medicare PECOS enrollment system.

Is Andrew Fuller affiliated with any hospitals?

According to CMS data, Andrew Fuller is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Andrew Fuller was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.